Individual
MRS. MELISSA LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6665 HEDGESVILLE RD, HEDGESVILLE, WV 25427-5483
(304) 754-3171
Mailing address
11955 BACK CREEK VALLEY RD, HEDGESVILLE, WV 25427-3156
(304) 754-6048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72755
WV
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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